Children’s Risk of Suicide Increases on School Days

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Children’s Risk of Suicide Increases on School Days
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Unlike in adults, suicide risk among children is lowest during the summer and higher during the school year. Understanding these patterns can help prevent and treat suicidality.

Reading about death and suicidality can be distressing. Please read this in a moment where you feel safest and ready to do so.

Whether we are talking about referrals to mental health programs for crisis, presentations to emergency departments for mental health issues, admissions to intensive care units for urgent treatment of suicide attempts or deaths by suicide, an association with school is clear. We are able to visualize this in a number of ways.

This situation has not improved over time: Compared with summer weekends, school-month weekdays from 2016 to 2019 show a pediatric suicide rate increase of 62 percent. The increase was 42% from 1999 to 2015. Any time I present these data to teachers, parents, principals or school administrators, they are shocked. This should be common knowledge. Pediatric suicides and mental health crisis rates increase sharply when school is in and ease when school is out. This pattern is also found in other jurisdictions, such as Japan, Germany and Finland.

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